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General NPI Number Information
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NPI Number | 1760977441
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Entity Type | Individual
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Provider Name | KAREN PAOLA BRAVO SOSA CNP
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Gender | Female
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 03/16/2023
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Provider Practice Location Address
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Address Line | 323 LOWELL ST
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City | ANDOVER
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State | MA
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Zip | 01812-1901
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Country | US
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Telephone | 888-227-3762
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Fax |
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Provider Business Mailing Address
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Address Line | 25 FAIRMOUNT AVE
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City | WAKEFIELD
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State | MA
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Zip | 01880-2225
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Country | US
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Telephone | 617-417-9681
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN2264042
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License Number State | MA
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